Organization
SAN LUIS OBISPO BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAILA FOUZI (WORKER I)
(805) 234-0638
Entity
Organization
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 234-0638
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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